RESUMO
Giant cell arteritis (GCA) is easily diagnosed in case of typical symptoms such as headache and jaw claudication. We present an 82-year-old man who was admitted due to symptoms of pneumonia, weight loss and fever. He did not respond to antibiotic treatment. An 18F-fluordeoxyglucose PET-CT scan showed increased uptake of the thoracic branches of aorta, raising the suspicion of GCA. The result from a subsequent temporal artery biopsy supported the diagnosis. Based on the clinical symptoms, the results from the PET-CT scan and the biopsy, and the response to high dose of prednisolone, the patient was diagnosed with GCA.
Assuntos
Arterite de Células Gigantes/diagnóstico por imagem , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada , Idoso de 80 Anos ou mais , Fluordesoxiglucose F18 , Arterite de Células Gigantes/tratamento farmacológico , Humanos , Masculino , Prednisolona/uso terapêutico , Compostos RadiofarmacêuticosRESUMO
Acute pancreatitis is a rare phenomenon in children but its incidence seems to be increasing. In children, it is generally caused due to systemic illness, biliary disease, trauma, idiopathy and side effects of medicines like L-aspariginase. Acute pancreatitis is difficult to diagnose in children since the clinical presentation is highly variable. Complications such as pseudocysts have been reported at rates as high as 25%. Severe cases of pseudocysts may be further complicated by a possible lethal splenic artery pseudoaneurysm. In this case report, we present a rare case of splenic artery pseudoaneurysm due to acute pancreatitis in a 6-year-old boy with acute lymphoblastic leukaemia treated with L-aspariginase. He presented with fever, irritability and pain in his left groin region.
